Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $9,504.00 / $11,627.00	Facility		$1,000.00	$9,504.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $805.20 / $805.20	Professional		$805.20	$805.20	$805.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $78.48 / $119.68	Professional		$65.98	$78.48	$119.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00